Provider Demographics
NPI:1700371457
Name:SANDHU, KANDY (MD,SA-C)
Entity Type:Individual
Prefix:
First Name:KANDY
Middle Name:
Last Name:SANDHU
Suffix:
Gender:F
Credentials:MD,SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BIESTERFIELD RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007
Mailing Address - Country:US
Mailing Address - Phone:847-228-9898
Mailing Address - Fax:847-228-9899
Practice Address - Street 1:910 BIESTERFIELD RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007
Practice Address - Country:US
Practice Address - Phone:847-228-9898
Practice Address - Fax:847-228-9899
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant